Direct Arteriovenous Fistula for Hemodialysis

L. Röhl Urological Department, Surgical University Clinic and the Medical University Clinic, Heidelberg, Germany

H. E. Franz Urological Department, Surgical University Clinic and the Medical University Clinic, Heidelberg, Germany

K. Möhring Urological Department, Surgical University Clinic and the Medical University Clinic, Heidelberg, Germany

E. Ritz Urological Department, Surgical University Clinic and the Medical University Clinic, Heidelberg, Germany

H. W. Schüler Urological Department, Surgical University Clinic and the Medical University Clinic, Heidelberg, Germany

H. G. Uhse Urological Department, Surgical University Clinic and the Medical University Clinic, Heidelberg, Germany

M. Ziegler Urological Department, Surgical University Clinic and the Medical University Clinic, Heidelberg, Germany

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Abstract

A direct end-to-side anastomosis between the radial artery and the cephalic vein on the forearm was created for hemodialysis in thirty cases. In the authors' experience this procedure makes a valuable contribution to the easier management of hemodialysis as the shunt is less liable to thrombosis and infection, less time is lost in controlling the shunt, and the arm can be used freely between dialyses. A local aneurysm in the anastomosis required reoperation in one case.

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Direct Arteriovenous Fistula for Hemodialysis

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Direct Arteriovenous Fistula for Hemodialysis

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